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及时性指标作为优化One Health疫情应对措施的工具有多可行或有用?
Jane Fieldhouse1,2, Lydia Nakiire3,4, Joshua Kayiwa3
1One Health Institute, University of California Davis School of Veterinary Medicine, Davis, California, USA.
BMJ global health
|July 11, 2024
概括
在乌干达追踪One Health疫情里程碑是可行的,但不一致的. 加强对关键事件的报告和整合系统对于优化疫情准备和应对至关重要.
科学领域:
- 一个健康监测
- 疫情防控的准备工作
- 公共卫生信息学 公共卫生信息学
背景情况:
- 及时性指标对于评估和改进疫情检测和应对变得越来越重要.
- 了解利益相关者的观点是成功实施和扩展这些工具的关键.
- 乌干达经常面临优先疾病的爆发,需要强大的监测系统.
研究的目的:
- 评估追踪乌干达One Health疫情里程碑的可行性和实用性.
- 系统量化人类,动物,植物和环境部门的及时性指标.
- 确定改善疫情监测和应对的挑战和机会.
主要方法:
- 编制了乌干达疫情事件 (2018-2022) 的数据库.
- 对里程碑报告频率的疫情报告进行了审查.
- 通过框架分析,与利益相关者进行了关键信息人采访.
- 采用并发的定量和定性数据分析.
主要成果:
- 282个公共卫生紧急情况中有129个符合纳入标准;82个有完整的数据.
- 大多数One Health里程碑被认为是可行的跟踪,由报告频率支持.
- 对于行动后的审查和疫情开始/结束日期存在报告缺口; 预测性警报难以捕获.
结论:
- 利益相关者认识到疫情绩效评估的及时性指标的价值.
- 不一致的One Health指标跟踪阻碍了优化流行病情报和准备工作.
- 可行性取决于综合报告,改进的文档和针对国家扩展的定制指导.
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